Taylor Adrienne Chandler
Individual provider Active NPI Clinical Psychologist · Canal Winchester, OH
NPI 1477135366 · NPPES record last updated Apr 21, 2021
Key facts
- NPI
- 1477135366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- P.08144 (OH)
- Practice address
- 7750 Diley Rd Ste a
Canal Winchester, OH 43110-7758 - Phone
- (614) 837-7337
- NPI assigned
- Apr 21, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P.08144 | OH | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Assoicates, Inc. | Current |
Accepting new patients | |
| Oh Independent Medical Group LLC | Past |
Accepting new patients |
Locations
7750 Diley Rd
Ste A
Canal Winchester, OH 43110
Phone (614) 837-7337
Interoperability endpoints
- taylor.chandler.2@26020.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | P.08144 | OH | Yes |
Addresses
Primary practice location
7750 Diley Rd Ste a
Canal Winchester, OH 43110-7758
Mailing address
7750 Diley Rd Ste a
Canal Winchester, OH 43110-7758
NPI Registry JSON
{
"created_epoch": "1618963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618963200000",
"number": "1477135366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7750 DILEY RD STE A",
"city": "CANAL WINCHESTER",
"state": "OH",
"postal_code": "431107758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7750 DILEY RD STE A",
"city": "CANAL WINCHESTER",
"state": "OH",
"postal_code": "431107758",
"telephone_number": "614-837-7337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDLER",
"first_name": "TAYLOR",
"middle_name": "ADRIENNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-21",
"last_updated": "2021-04-21",
"certification_date": "2021-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "P.08144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canal Winchester, OH
- Anna Carpenter
- Jessica Carpenter
- Cash B Co
- Callie Caswell
- Timika Chambers
- Wei Chen
- Chinchuks Healthcare Services
- Choice Residential Services
- Chris Buck and Associates, LLC
- Kathy Ann Clark
All providers in Canal Winchester, OH · Clinical Psychologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.